WQ0038087_NOD-2020-PC-0194_20200616

1F it
TERRA
renewal
June 11, 2020
Justin Henderson
Winston-Salem Regional Office
Division of Water Resources
North Carolina Department of Environmental Control
450 West Haines Mill Road; Suite 300
Winston-Salem, NC 27105
Subject: Response to Notice of Deficiency issued April 13, 2020
Terra Renewal RLAP — 2019 Annual Report Review
Land Application of Class B Residuals (Non -Dedicated)
Permit No. W00038087
Wilkes County
Dear Mr. Henderson,
P.O. Box 1746
Watkinsville, GA 30677
phone [phone]
In response to the Notice of Deficiency (NOD-2020-PC-0194) issued April 13, 2020 pertaining to the 2019
Annual Report review for Permit No. W00038067, Terra Renewal Services (TRS) is providing the following
information (items are addressed in order presented in NOD letter):
Deficiencies:
1) We acknowledge that the samples collected for all four sources on February 11, 2019 (Q1) were at a
temperature of 8.01C (48.4°F) when checked in at the lab, which is above the required holding
temperature of s 6.0' C (42.8 ' F). Efforts will be made in the future to ensure that all samples are
delivered to the lab within the required holding temperature. If notified of this circumstance, we will
instruct the lab to discard the samples and collect new samples as replacement.
2) We acknowledge that seven (7) of the 28 fields that were land applied in 2019 were not soil sampled
within the calendar year per the requirements of the permit. Additional protocols are being
implemented in 2020 to ensure that soil samples are collected on all fields applied. This includes
sampling at an earlier time in the year (following last corn harvest) and then again in late November to
account for any fields that were applied after the first sampling event.
3) Standard Soil Fertility Analyses (SSFA) were provided from composite soil samples for several fields,
specifically MRF-20A & MRF-20B and MF-23A & MF-238. These fields are contiguous with respect to
the A & B designation and divided on a somewhat arbitrary boundary in the permit. The agronomic
practices are consistent across both sides of the divided field. These fields should have been sampled
separately since the volume of residuals applied are tracked and recorded separately and they are
designated as separate fields in Attachment B. In the future, separate SSFA reports will be submitted
for each individual field as designated in the permit.
Concerns:
a) The Arsenic concentration of 390 mglkg was incorrectly entered into Form RSSF for the sample
collected on August 26r 2019 for RVAF (Tyson) — Harmony on the original report. The correct value
was 2.5 mg/kg. This carried over to calculations on Forms MFLSF and FSF for the following fields:
NC-WK-CH-01, NC-WK-CH-03, NC-WK-MF-13, NC-WK-MF-14, NC-WK-MF-15, NC-WK-MF-23A, NC-
WK-MF-23B, and NC-WK-RJ-05. The errors have been corrected on Form RSSF for RVAF-Harmony
and the above -mentioned forms corresponding to these fields. The revised forms are provided as part
of this response.
Page 1 cf 2

b) The report for the sample collected for AdvancePierre Foods — Claremont, NC on October 14, 2019
provided a Molybdenum concentration of < 190 mglkg, which was the reporting limit. This occurs
periodically and is due to the laboratory method and low total solids (< 2%)_ Upon receipt of the report,
we acted to collect another sample for quantification, which resulted in confirmation of a Mo
concentration below the ceiling concentration. This was the value used in calculating metals loading
for the fields applied in this sampling period- It should be noted that based on the dry tonnage land
applied in 2019 for this source, only one (annual) analysis was required based on the permit
requirements. It was sampled quarterly including the additional sample to follow upon this issue, with
all results reported.
c) An assessment of Zinc accumulation will be performed in late summer on all fields of concern (i.e. >
2000 index level) via additional soil sampling. Management of these fields will be addressed. If fields
need to be removed, it will be done during the renewal of this permit in the second half of 2020.
d) There were 28 permitted fields land applied in 2019. The 29 shown on Form ACF in the original report
was an error. A revised Form ACF is provided as part of this response.
e) The SSFA results submitted with the 2019 Annual Report include many fields that are farmed by ASJ
Mathis Farms but are not approved land application site associated with Permit WQ0038087. Most
fields in the ASJ Mathis Farms inventory are sampled annually and compiled in the same reports with
permitted sites- The samples labeled M12 & 4 that are shown on the SSFA reports and noted in the
NOD letter are not permitted sites. Only fields that are highlighted in the SSSF reports or provided on
the single report for samples collected in 2020 were land applied in 2019- We cannot alter the report
by redacting that data or only showing pieces; however, we will make attempts in the future to
separate only permitted fields applied in a given year and have the lab present those in one report.
f} The SSFA result that is highlighted in the annual report represents a composite soil sample for both
MF-23A & MF-23B combined. Refer to the explanation in item 3 under "Deficiencies" above. This will
be corrected moving forward.
Additional:
It was brought to our attention through an internal source that Form RSSF-B for RVAF (Tyson) —
Harmony, NC was omitted from the digital (pdf) copy of the 2019 Annual Report as submitted. We are
not aware if this form was omitted from the submitted hard copy as well- The form is provided as part
of this response.
Thank you for your cooperation and attention to this matter. If you have any questions or require additional
information, please contact me at 479-747-8192 or david. coyleiterrarenewal,com.
Sincerely,
David C. Coyle
Environmental Manager
Page 2 of 2

ANNUAL LAND APPLICATION CERTIFICATION FORM
WQ Permit#: WQ0038087
County: Wilkes & Yadkin Year: 2019
Facility Name (as shown on permit):
Land Application Operator:
Terra Renewal Services, Inc
Terra Renewal Services, Inc Phone; 479-747-8192
',and application of residuals as allowed by the permit occurred during the past calendar year?
0 Yes ❑ No - If No, skip Part A, and Part B and proceed to Part C. Also, If residuals were
generated but not land applied, please attach an explanation on how the residuals were handled.
Part A - Residuals Application Summary:
Total number of application fields in thepen-nit:
44
Total number of fields utilized for land application during the year-1
28
Total amount of dry tons applied during the year for all application sites:
1,637
Total number of acres utilizes for land application during the year:
1 672
Part B - Annual Compiance Statement:
Facility was compliant during calendar year 2019 with all conditions of the land application permit
(including but not limited to items 1-13 below) issued by the Division of Water Resources. ❑ Yes A No
If no please, provide a written description why the facility was not compliant, the dates, and explain corrective action
taken.
1) Only residuals approved for this permit were applied to the permitted sites.
2) Soil pH was adjusted as specified in the permit and lime was applied (if needed) to achieve a soil pH of at least 6.0 or
the limit specified in the permit.
3) Annual soils analysis were performed on each site receiving residuals during the past calendar year and three (3) copies
of laboratory results are attached.
4) Annual TCLP analysis (if required) was performed and three (3) copies of certified laboratory results are attached.
5) All other monitoring was performed in accordance with the permit and reported during the year as required and three (3)
copies of certified laboratory results are attached.
6) The facility did not exceed any of the Pollutant Concentration Limits in 15A NCAC 02T .l 105(a) or the Pollutant
Loading Rates in i5A NCAC 02T. I 105(6) (applicable to 40 CFR Part 503 regulated facilities).
7) All general requirements in as specified in the Land Application Permit were complied with (applicable to 40 CFR Part
503 regulated facilities).
8) All monitoring and reporting requirements in 15A NCAC 02T .1 1 I l were complied with (applicable to 40 CFR Part
503 regulated facilities).
9) All operations and maintenance requirements in the permit were complied with or, in the case of a deviation, prior
authorization was received from the Division of Water Resources.
10) No contravention of Ground Water Quality Standards occurred at a monitoring well or explanations of violations are
attached to include appropriate actions and remediations.
l 1) Vegetative cover was maintained and proper crop management was performed on each site receing residuals, as
specified in the permit.
12) No runoff of residuals from the application sites onto adjacent property or nearby surface waters has occurred.
13) All buffer requirements as specified on the permit were maintained during each application of residuals.
Part C - Certification:
"I certify, under penalty of law, that the above information is, to the hest of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations." * RF-„+rEb Ft—bf ArtusD rko^ 29 +d *L8 (+yrb)
David C. Coyle; Environmental Manager
lermittee Name and Title (type or print)
Si re o ittee Date
Signature of Preparer' Date Signature of Land Applier Date
(if different from Permittee) (if different from Permittee and Preparer)
* Preparer is defined in 40 CFR Part 503.9 (r) and 15A NCAC 02T .1102 (26) DEN FORM ACF (1212006)

P
J
ICI
n
C6
Q
0
G
�
�n
�
-�
N
cc
t=
.�
N
+r
�}
r
�'
p
C
tR
CA`r'
oc
p
_
[
t�
n
wl
ti
p
a
d
p
kn
kn
�
G
C
M
C�
M
._
r i
kn
,r,
�o
o
90rn
M
,--i
ull
�--'
,--i
lzf
O
VC-
00
z
DO
kn
C�
t
a
72
d
^a
2
Cc1 c
a�
cp
4 to
in
to
Of
'�
titi �
c� �
c}
❑
LL
i+
Z
W
ea
q
e► 0

El
a
4�
0
Q
0
U
p
�CD
r-
p
p
CD
p
n
CD
p
►rn
M
-
Q
Q
--
rq
rn
M
onoaCDcl
r
�n
n
r-
r�
•-�
N
fn
00
Ob
00
00
1.0
oO
�
a
a
G
5
o
a
'
0
a
a
o
en
a
N
C,1
a
�
<D
a
o
0
o
r
�•�
N�
C�
O
O
M
O
d
M
�
C>
G
""
Q
a
-t
0c
n
u
_....
U
ern
En
.�
Q
WD
t j
o
rig
a
Cm)
N
N
mT
W
L.L
U]
U]
0
LL
cr-
L.0

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Terra Renewal Services, Inc Total Dry Tons Applied (Annual):
Permit #: WQ0038037 Cation Exchange Capacity (non 503 only):
rator: Terra Renewal Services Owner: Mathis Properties, LLC Predominant Soil Series:
At;res Used: 21.8 Acres Permitted: 21.8 Site #: WK-CH-01 Field #:
57.20
12.7
Danripple
WK-CH-01
Residual Analvsis Data (Heavv Metals and Total Phosnhorus use mtr/Ic¢. °/a Salirlc tice Raw Pervent M-
Sample or
Cote-
posite
Date
1 1
Advance
Pierre
418119
2
Hunter
Dairy
4111 / 19
3 J
RVAF
4/ 1 1 / 19
L 4
Tyson-
Wilkes
418119
5 j
Advanceunter
Pierreairy
7/ 16/ 19
F7116119
7
RVAF
8/26/ 19
8
Tyson-
Wilkes
914119
9
10
11
12
% Solids
4.3
3.7
3.3
12.1
5.8
9.3
1 9.3
7.3
Arsenic
16.0
18.0
19.0
5.1
12,0
6.7
2.5
5.0
Cadmium
5.5
6.1
6.4
1.7
3.9
2.2
0.9
0.4
Copper
2400.0
20.0
13.0
15.0
160.0
4.5
30.0
28.0
Chromium
Lead
11.0
12.0
13.0
3.4
7.8
4.5
L 7
4.0
M ercury
1.9
2.2
2.5
0.6
1.4
0.8
0.8
0.1
Malyb-
denum
44.0
49.0
51.0
14.0
31.0
18.0
7.0
2.4
Nickel
44.0
49.0
51.0
14.0
31.0
18.0
7.0
3.3
Selenium
22.0
24.0
25.0
6.8
16.0
8.9
3.5
7.0
Zinc
55.0
61.0
64.0
53.0
120.0
45.0
77.0
52.0
Total
Phos-
horus
9,200
11,000
19,000
1,800
2,800
1,800
2,400
2,800
uat heavy ivierai rmia tivaaines VUalculated in Ibslacre1:
l ota!1
2
3
4
5
6
7
aj
91
10
11
12
DTIAc.I
a
App.
m
Event
0.00
0.09
0.19
1.39
0.00
0.00
0.96
0.00
Arsenic
0.000
1 0.003
0.007
1 0.014
0.000
0.000
1 0.005*
0.000
0.000
1 0.000
0.000
0.000
0.029
Cadmium
0.000
0.001
0.002
0.005
0.000
0-000
1 0.002
0.000
0.000
0.000
0.000
0.000
0.010
Copper
0.000
0.003
0.005
0.042
0.000
0.000
0.057
0,000
0.000
0.000
0.000
0.000
0,108
Chromiu
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0A00
0.000
0.000
0.000
Lead
0.000
0.002
0.005
0.009
0.000
0.000
0.003
0.000
0.000
0.000
0.000
0.000
0.020
Mercury
0.000
0.000
0.001
0.002
0.000
0.000
0.002
0.000
0.000
0.000
0.000
0.000
0.005
Molyb-
denum
0.000
0.008
0.020
0.039
0.000
0.000
0.013
0.000
0.000
0.000
0.000
0.000
0.080
Nickel
0.000
0.008
0.020
0.039
0.000
0.000
0.013
0.000
0.000
0.000
0.000
0.000
0.080
Selenium
0.000
0.004
0.010
0.019
0.000
0.000
0.007
0.000
0.000
0.000
0.000
0.000
0.039
Zinc
0.000
0.010
0.025
0.147
0.000
0.000
0.148
0.000
0.000
0.000
0.000
0.000
0.330
Total
Phos-
0.000
1.870
7.296
5.000
0.000
0.000
4.598
0.000
0.000
0.000
0.000
Q.QQQ
18.765
horus
1 UrYtily, o11llCA- Penxtty lit law, tuaT Tilts aocumeni was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
i*---risonment for knowing violations".
19$JISE jj ib 04 Arai LE
A e eo&,x . t=-R 9,JAv
C L /I 1 xo 7/14/1 T r K.,% Igo M /1-��
Signat pplier Date +a 2.5 n5/k�
DENR FORM MFLSF (12/2006)

�..'79C,
G
L7
'j
d
4
4
a
UCL
V�
V�
G�
wi
)
r
O
G
d
E
ar
P
2
V
U
U
U
u
❑
4
Z
Z
Z
7-
L
6
4
L3. �
d
;s
o
n_
c
c
r
�4
Z
z
Z
Zm
N
�t
p
4
4
G
Y
ry
r2
r"1
lP
N
W
Ammonia -
g
Q
o
o
a
rq,
a¢
Nitrogen
IZ
a
W"
o
0
0
Mineralization
<r
C.
o
N
c
Rate " •"
o
0
o
a
o
o
a
a
4
It
w
O
O
e q
6
Nt
6
Volatilization
O00
ry
a
Q
Rate"
o
In
z
s
Application
U
U
U
z
U
U
U
U
U
Method"
x
o
0
0
C
C
C
tl
�_
c
c
o
CIO
1.1
Gee
-
>
= Lai
CS
=
CG
O
m
C
O
d W.3
o
x
F'
b
r'
w
(j
c
c
o
O YL Q
� >r N
4
vi
N
ET
6
o
W
o
O
4
G
O
C
C
�
v=
O
d
C
O
O
r
o
q
a
Q
a
p
o
C
0
C
0
O
0
n
0
d
0¢
a
C
O
> rL
--
C
C7
d 4
N
n
,1
ry
r+
r•1
N
r7
o
o
c
C
;a O
b
d b
^--'
M
�D
v1
LY^C
y
Q:
h
•Y
I�
w+
V
67
g1uOw
o
a
a
a
a
a
sn.
sn.
o
Joaltap
d
d
d
a
y"
L
^
O
u �+
44
I.Z
R °ia
�
•= �,��
C
C
u
4i
iw •�' L 61
R C
•Y
�
0i
o
o.y L
r
N
z
C �
,
L
4
L
sA r
w'rl
aCi
G: y
as w
•Q �
j
i
{.+.
yam..
7..
•
4> ^
0.
V
N
-t
A4a
L tZ
R.�yuj
L
L
V •Qi y0
I.y �
ar C.
io
6
LL
N
N
Li
iL
sL
Z
W

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Terra Renewal Services, Inc Total Dry Tons Applied (Annual):
Permit #: WQ0038087 Cation Exchange Capacity (non 503 only):
f rator: Terra Renewal Services Owner: Mathis Properties, LLC Predominant Soil Series:
Acres Used: 41.6 Acres Permitted: 41.6 Site #: WIC-CH-03 Field #:
94.97
12.7
Banister
WK-CH-03
Residual Analysis Data (Heavy Metals and Total Phosnholrus use mglkg_ % Solids use Raw Percent M!
Sample or
Corn-
posite
Date
1
Advance
Pierre
418119
2
Hunter
Dairy
4/11/19
3
RVAF
4/11/19
4
Tyson-
Wilkes
5/23/19
5
Advanceunter
Pierreairy
7/16/19
r7/16/19
7
RVAF
8/26/19
$
Tyson-
Wilkes
914119
9
10
11
12
% Solids
4.3
3.7
3.3
1 3.1
5.$
1 9.3
9.3
7.3
Arsenic
1 16.0
18.0
19.0
1 20.0
12.0
6.7
2.54
5.0
Cadmiuml
5.5
6.1
6.4
6.7
3.9
1 2.2
0.9
0.4
Copper
2400.0
20.0
13.0
13.0
160.0
4.5
30.0
28.0
Chromium
Lead
11.0
12.0
13.0
13.0
7.8
4.5
1.7
4.0
Mercury
1.9
2.2
2.5
2.5
1.4
0.8
0.8
0.1
Molyb-
m
44.0
49.0
51.0
54.0
31.0
18.0
7.0
2.4
Nickel
44.0
1 49.0
51.0
54.0
31.0
18.0
7.0
3.3
Selenium
22.0
24.0
25.0
27.0
16.0
8.9
3.5
7.0
Zinc
55.0
61.0
64.0
67.0
120.0
45.0
1 77.0
52.0
Total
Phos-
horus
8,200
11,000
19,000
5,000
2,800
1,800
2,400
2,800
uai rneavv ivterai rieta l<.oaixjnLys ic_:aicuiatea in lhclacrel!
Total
1
L21
3
4
5
6
7
8 j
91
116111
j
12 f
DTIAc.1
c
App.
m
Event
0.03
0.16
0.48
0.67
0.00
0.00
0.95
0.00
Arsenic
0.001
0.006
0.018
0.027
0.000
0.000
1 0.005
0.000
0.000
1 0.000
0.000
0.000
0.056
Cadmium
0.000
0.002
0.006
0.009
0.000
0.000
0.002
0.000
0.000
0.000
0.000
0.000
1 0.019
Copper
0.125
0.006
0.013
0.017
0.000
0.000
0.057
0.000
0.000
0.000
0.000
0.000
0.218
Chromiun4
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
{),000
Lead
0.001
0.004
0.013
0.017
0.000
0.000
0.003
0.000
0.000
0.000
0.000
0.000
0.038
Mercury
0.000
0.001
0.002
0.003
0.000
0.000
0.002
0.000
0.000
0.000
0.000
0.000
0.008
Molyh-
denum
0.002
0.015
0.049
0.072
0.000
0.000
0.013
0.000
0.000
0.000
0.000
0.000
0.152
Nickel
0.002
0.015
0.049
0.072
0.000
0.000
0.013
0.000
0.000
0.000
0.000
0.000
0.152
Selenium
0.001
0.007
0.024
0.036
0.000
0.000
0.007
0.000
0.000
0.000
0.000
0.000
0.076
Zinc
0.003
0.019
0.062
0.090
0.000
0.000
0.146
0.000
0.000
0.000
0.000
0.000
0.319
Total
Phos-
0.426
3.432
18.316
6.710
0.000
0.000
4.550
0.000
0.000
0.000
0.000
0.000
33.435
horus
1 L:Cr111y, U11luer pvlA ity Vl law, rnax ims aocumenz was preparea under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
ir-risonment for knowing violations". -X Rev►sep `rm CgA I. GE
Ar Fop. Rv^f
s 6 I1 ZozG g/z{JlR FRan 39� .ti3fk3
Signatur f Land r Date tp !'� s ,•, l+c
art�l•+I ���r1-�
DENR FORM MFLSF (1212006)

alLO
¢
t�
Li
d
Lj
v
CDo
Vj
Vj
Ql
02 0
U
r'
d
w
Z
G
U
U
U
U
A
rA
go
o
z<
o
a�
T
� V
d �
V
O,
4
Z
.'�
O
O
Ci
4
4
a
C
m
a,
0.
ei
ry
v
w'00
Z
N 00 w
Ammonia Y
C
C
G
p
C_
CD
Nitrogen E
^
^
n
��
n
o
N
N
o c_ r e
¢
n.
C
O
C
,
.00
C
Q
Q
O
[/]
C
4
N
4
0�0
9GarN7
4
Mineralization
Rate***
o
a
a
o
C.
n
o
a
Volatilization
Hate**
c
o
c
z
Lr.
Application
u
U
U
u
U
u
U
U
Mcthod*
z
Z=
Z
z
o
a
o
vi N
c
M
h
dv
_
y
CS
•u
yN
y
.n
CIO Z*
u~7
U
v
>
L V
U
C
b
h7
b
v]
N
pC
r-'
p
O
C
❑.
O
p
O
4
P
4
O
4
<D O
C
O—
N
T'1
Q
O
O
C
G
O
O
O
Q
p
G
Q
6
C
IC)
n
Q
a
C
C
N '�
GO
O
CCD
C ❑
7
~
['l
V
.�
w
v
a
qjUOa
F2R!-�
aaal�p
��v,v,�
QciUn.a".
p �
a
�
o
FBI ii
_�
C
Z
C �
as Cam,
A
�
'0 Ip
u o O
air
a n .�
C
�
C
C
C
cl
UrCj Qw
E a
J
d
s~
* ro
C
W 7
^o
�
it
p.
.�
,a
In
3
CLbE
c � �
EC L
C
�1
_a
Q.
h
4
E
U M �O
C
a
0
0
N
[v
31
LL
ll
ZE
lDf
lL
Z
W
0

ANNUAL METALS FIELD LOADING SUMMARY FORM'
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Terra Renewal Services, Inc Total Dry Tons Applied (Annual): 102.85 _
Pe_ r_ mit #: WQ0038087 Cation Exchange Capacity (non 503 only): 12.1
f rator: Terra Renewal Services Owner; Mathis Properties, LLC Predominant Soil Series: Fairview
Acres Used: 33.8 Acres Permitted: 33.8 Site #: WK-MF-13 Field 9: WIC-MF-13
Residual Analvsis Data (Heavv Metals and Total Phosnhoruc me u,ullra- u/ .S'nli 1Q m.rp Raw Aarrnn+ RE -
Sample or
1
L2 J
L3J
5
LGJ
7
$
9I
lol
11
12
Corn-
Advance
Hunter
Tyson-
Advance
Hunter
Tyson-
posite
Pierre
Dairy
RVAF
Wilkes
Pierre
Dairy
RVAF
Wilkes
Date
418119
4/11/19
4/11119
418119
7/16/19
7/16/19
8126/19
9f4119
%Solids
4.3
3.7
3.3
12.1
5,8
9.3
9.3
7.3
Arsenic
16.0
18.0
19.0
5.1
12.0
6.7
2.5 t-
5.0
Cadmium
5.5
6.1
6.4
1.7
3.9
12
0.9
0A
Copper
2400.0
20.0
13.0
15.0
160.0
4.5
30.0
28.0
Chromium
Lead
11.0
12.0
13.0
3.4
T S
4.5
1.7
4.0
Mercury
1.9
2.2
2.5
0.6
1.4
0.8
0.8
0.1
Molyb-
dmum
44.0
49.0
51.0
14.0
31.0
18.0
7.0
2.4
Nickel
44.0
49.0
51.0
14.0
31.0
18.0
7.0
3.3
Selenium
22.0
24.0
25.0
6.8
16.0
8.9
3.5
7.0
Zinc
55.0
61.0
64.0
53.0
120.0
45.0
77.0 1
52.0
Total
Phos-
8,200
11,000
19,000
1,800
2,800
1,800
2,400
2,800
Orus
e un
"v4vy irirtm lrimu
j uaultlgs
kLaieulaicU In IDS/acre):
Total
1 2
3
4 5j B 7 8 9 10 Li12
❑TIAc.I
H
G
App.
m
Event
0.00 0.11
0.30
1.88 0-00 0.00 0.76 0.00
Arsenic
0.000
0.004
0.011
0.019
0.000
0.000
0.004
0.000
0.000
0.000
0.000
0.000
1 0.038
Cadmium
0.000
0.001
0.004
0.006
0.000
0.000
0.001
0.000
0.000
0.000
0.000
0.000
0.013
Copper
0.000
0.004
0.008
0.056
0.000
0.000
0.045
0.000
0.000
0.000
0.000
0.000
0.114
Chromium
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Lead
0.000
0.003
0.008
0.013
0.000
0.000
0.003
0.000
0.000
0.000
0.000
0.000
0.026
Mercury I
0.000
0.000
0.001
0.002
0.000
0.000
0.00E
0A00
0.000
0.000
0.000
0.000
0.006
Molyb-
denum
0,000
0.011
0.030
0.053
0.000
0.000
0.011
0.000
O.Ooo
0.000
0.000
0.000
0.104
Nickel
0.000
0.011
0.030 1
0.053
0.000
0.000
0.011
0.000
0.000
0.000
0.000
0.000
0.104
Selenium
0.000
0.005
0.015
0.026
0.000
0.000
0.005
0.000
0.000 1
0.000
0.000
0.000
0.051
Zinc
0.000
0.013
0.038
0.199
0.000
0.000
0.116
0.000
0.000
0.000
0.000
0.000
0.367
Total
Phos-
0.000
2.420
11.286
6.772
0.000
0.000
3.624
0.000
0.000
0.000
0,000
0.000 i
24.192
"I certify, under penalty of law, that this document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
i►--risonment for knowing violations".
.4 rlze.+'siro rc� ckA�r4c.t
s/i� 202.7 Ar CaWc. Fort iL�o.r
fz/4t/1Q rrseart. 1344 n3 f►c5
Signs pplier Date, z.S r1��+ [ r`
DENR FORM MFLSF (1212006)

b
7Z
V
o 5: R
m
0.1
vn
on
y
N
rn
N
p+
Q
Q
Q
Q
o
`i'-
g
o
a
C
CD
g
'r
b
-,-,-,
o
o
C
C
C
C
g
C
p
4IM
n
C R
Q
o
--
Z
Z
2
Z
{s
c
M
h
o
a
a
d
rn
"I
N
aJ
In17
(It N
N
�
7
�
w
«
r`I
Ammonia
a'
C
C
O
rn
Q
v7
•n
b
r�
Q
o
C
N
Ii
n
Nitrogen
.C.
C4
w
CD
O
?� of
F'
O
4
p
a
n
O
0
G
rn
k
r.!]
O
N
N
rp
ao
cv
r�
v
c
o
0
0
Ri
Mineralisation
4
4
v
0
v
D
s—
o
ry
Q
r7
Rate***
O
o
o
a
o
aai
a V
Volatilization
o
v
°;
y
Z
Application
U
L2
Method*
U
Z
U
o
0
Q
a
�A
O
tp
s
V
C-
C
00
H
w
W
uE
L
C
O
C
G
d
G
O
{�
O
d
d
•y
O
a
a
ea
u
3 y
a
u
�.
d
w
t'F
T
N
°❑ uW
eG
>
�
O
�
�
[.�"
O
9
3
P
a
;
v
oc
o'T
a
u
o—
o
a
o
vl
�
C
C
4
C
4
O
0
O
4
c
G
�
[a
=•
eT
fII
v F
c�a
owe•
a
a
O
C
O
O
o
p
p
p
4
4
C
a
a
a
dF
U
4 VJ rV f 11
N
�
N
10
•l�
^
��.
v c77
❑ L .a b
�
N
�
CC
rp
C*
Lj4oluaoxc,
Q
Q
Q
Q
to
c17
V!
i•-
0.
C.l
0.
R.
L �
�
C o
o0 0
Q •i�"I~+
�a ril M
� •
'OJ C H
O y
=
4+
G ram+
V CQ Cf
O �
L
i
"Cf 6F I
O
ee
o N V
CL
L r
4
�
J
s� 3
0
y
� y 4
ij
oe p
7, a
�
r
a °
67 L�yf
b F
U.
0
C
4
Q
N
N
LL
LL
LL
CY
LL
O
iz
Z
W
C

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
rator:
Acres Used:
Terra Renewal Services, Inc Total Dry Tons Applied (Annual); 61.96
WQ0038087 Cation Exchange Capacity (non 503 only): 13.4
Terra Renewal Services Owner: Mathis Properties, LLC Predominant Soil Series: Fairview
21.9 Acres Permitted: 21.9 Site #: WK-MF-14 Field #: WK-MF-14
Residual Analvsis Data [Heavv Metals and Total Phnsnhorus use lniflkv- % Solidg use Raw Percent #k
Sample or
Com-
posite
Date
1
Advance
Pierre
418f 19
2
Hunter
Dairy
4/ 11119
3
RVAF
4r 11 f 19
4
Tyson-
Wilkes
418J 19
51
Advance
Pierre
7J 1 G119
1 6j
Hunter
Dairy
7f 16119
7
RVAF
81261 l 9
8
Tyson-
Wilkes
914119
9
10
11
12
% Solids
4.3
3.7
3.3
12.1
5.8
9.3
9.3
7.3
Arsenic
16.0
18.0
19.0
5.1
12.0
6.7
2.5
5.0
Cadmium
5.5
6.1
6.4
1.7
3.9
2.2
0.9
0.4
Copper
2400.0
20.0
13.0
15.0
160.0
4.5
30.0
28.0
Chromium
Lead
11.0
1 12.0
13.0
3.4
7.8
4.5
1.7
4.0
Mercury
1.9
2.2
2.5
0.6
1.4
0.8
0.8
0.1
Molyb-
ol
denumMickel
44.0
49.0
51.0
14.❑
31.0
18.0
7.0
2.4
44.0
49.0
51.0
14.0
31.0
18.0
7.0
3.3
Selenium
22.0
24.0
25.0
6.8
16.0
8.9
3.5
7.0
Zinc
55.0
61.0
64.0
53.0
120.0
45.0
77.0
52.0
Total
Rhos-
horus
8,200
11,000
19,000
1,800
2,800
1,800
2,400
2.800
ual tieavv Metal VING L,nauings R alculated in Ihslacreli
Total
1
3j
4j
5j
6
7
8J
[91
L01
111
12
❑TIAc.I
App.
Event
0.00
0.09
0.31
1.66
0.00
0.00
0.53
0.25
..
Arsenic
0.000
0.003
0.012
OM 7
0.000
0.000
0.003
0.003
0.000
0.000
0.000
0.000
0.037
Cadmium
0.000
0.001
0.004
0.006
0.000
0.000
0.001
0.000
0.000
0.000
0.000
0.000
0.012
Copper
0.000
0.003
0.008
0.050
0.000
0.000
0.032
0.014
0.000
0.000
0.000
0.000
0.107
Chromium
o.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Lead
0.000
0.002
0.008
0.011
0.000
0.000
0.002
0.002
0.000
0.000
0.000
0.000
0.025
Mercury
0.000
0.000
0.002
0.002
0.000
0.000
0.001
0.000
0.000
0.000
0.000
0.000
0.005
Molyb-
denum
0.000
0.008
0.031
0.046
0.000
0.000
0.007
0.001
0.000
0.000
0.000
0.000
0.095
Nickel
0.000
0.008
0.031
0.046
0.000
0.000
0.007
0.002
0.000
0.000
0.000
0.000
0.095
Selenium
0.000
0.004
0.015
0.023
0.000
0.000
0.004
0.004
0.000
0.000
0.000
0.000
0.049
Zinc
0.000
0.010
0.039
0.176
0.000
0.000
0.082
0.026
0.000
0.000
0.000
0.000
0.333
Total
Phos-
0.000
1.870
11.590
5.972 1
0.000
0.000
2.544
1.400
0.000
0.000
0.000
0,000
23.376
horus
r ceririy, unuer penalry or law, Inat tnis aocument was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
4 - wisonment for knowing violations". A 'F-EvrAA -rQ
Signatur Land A Date 1rg_on `34o ^5/k:,
2.S n D
O{ort�
DENR FORM MFLSF (12/2006)

d
uy
v
n
CD
L'w y •�
[17
V]
V]
Vj
CL
0
❑ > Q
7] -N
^
V1
VS
rn
"CI
zUu
ua�
v
Q
Q
Q
Q
o
g
rczj
d
o
o?
-
Qu
0
2
Z
Z
b
O
b
ry
o
0
O
4
C
4
4
4
V9i
Z p
a
c
M
m°
`
a
n
m
a
o
c
rc
1n
au
CJ
o
Z
Z
Z
a
a
o
c
e
w I
yD
N
Ammonia
C,a
ao
a
w^
ma
E
"
mom
a
N'noNitrogen
Q
C
7
m
o
G
G
C
o
b
C5
a
Gai
y
{y
n
Ch
O
O
4
OO
0
Mineralization
Rate***
o
0
o
c7
0
0
0
0
=
a
O
6
O
n
C^]
4
W
q
Volatilization
o
N`
s
Rate"
a�
's
c
c
c
Z
Application
U
U
U
U
U
U
U
0
wc
a
a
r
Method*
d
a
y �
a
� �,
a
0.
o
o
.❑
N
a
a
a
C
a
o
m
U
o
Q W
v
d
Q
a
o
is [n h
Q
t4
a
C
>
Ce
❑
W
G
7
Ce
❑
;n
w w
x
F
Q
z
N
x
CJ
Q
c
c
pj V
4
9
C
ei
`
p
a
I
m
kn
O
v
vl
O
o
6
c
c
c
o
c
C
C,
O
o
b
a
C
t-
CO
u
U
G
O
o
O
o
Q
n
g
ry
C
O
G
v
o
0
O
0
4
0�
c7
,...,
O
�--
C
6
Q
O
G
O
n
e
C4
M
N
iV
:
u
ED
S
C
?� 'a
O
6
O
b
O
o
d
L7
C]
p
C
O
O
O
Gl
r�J1
3•
❑
r v
,�
3
> V
R
U
U
U
y3��bll
Q
Q¢
a.
n
CL
cn
cn
rti
F
�LLUCL.R
s
L �
�
ax wo
L c R
'c
4?
Z
E H
w a+
+J 5^
d C O '❑ r
s;
E ^
❑ �
V
❑
� ` oorrs� L q
'
r/ j
03
no
o y
E
y
U
.+
•L pG
� y
rdi h�i A
Ca
oV
C
a
Ri Q
V
�
b
2
as
6i 1 e...
\,}
+�
�J
L
L L fl
L
C.
o
10 a
IL
'^
� p
i+-
�y rr
L
7:�
L
CL
C
� L �
4
yx�
L
.p
tL
'0 Z
C3C
V R �Q

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to he submitted in Annual Report
Facility Name: Terra Renewal Services, Inc Total Dry Tons Applied (Annual): 68.94
Permit #: WQ0038087 Cation Exchange Capacity (non 503 only): 11.7
ratur: Terra Renewal Services Owner: Mathis Properties, LLC Predominant Soil Series: Fairview
Acres Used: 13.6 Acres Permitted: 13.6 Site #: WK-MF-15 Field #: WK-111F-15
Residual Analysis Data (Heavv Metals and Total Phnsnhnrus rice mo,lko_ °/. Cnlirlc nsp Raw PPripent iii-
Sample or
Com-
posite
Date
1
Advance
Pierre
2/11/19
Hunter
Dairy
2111/19
S
RVAF
2111119
4
Tyson-
Wilkes
2111119
5j
Advance
Pierre
7/16119
E
Hunter
Dairy
7116119
7
HVAF
8/26/19
8 Y
Tyson-
Wilkes
8/26/19
VL9j
LOJ
11
12
% Solids
5.6
9.9
4.4
18.3
5.8
9.3
9.3
9.8
Arsenic
13.0
6.7
16.0
3.9
12.0
6.7
2.5
2.5
Cadmium
4.3
2.2
5.3
1.3
3.9
2.2
0.9
0.8
Copper
790.0
6.2
11.0
2.6
160.0
4.5
30.0
20.0
Chromium
Lead
8.6
4.4
11.0
2.6
7.8
4.5
1.7
1.7
Mercury
1.3
0.8
1.7
0.4
1.4
0.8
0A
0.8
Molyb-
denum
34.0
18-0
42.0
10.0
31.0
18.0
7.0
6.7
Mickel
34.0
18.0
42.0
10.0
31.0
18.0
7.0
6.7
Selenium
17.0
8.9
21.0
5.2
16.0
8.9
1 3.5
3.3
Zinc
56.0
120.0
53.0
13.0
120.0
45,0
77.0
71.0
Total
Phos-
tzhorus
2,200
1,400
7,000
460
2,800
1,800
2,400
2.200
ual heavy lvletat viein Lnadingq it:alenlated in Ihvlarrnl-
Total
I
L_2J3
d J
51
fi
8
9
1 Q I
11
9 2
DTIAc./
o
App.
s�
Event
0.00
O. l 8
0.32
3.70
0.00
0.17
0.51
0. I $
Arsenic
0.000
0.002
0.010
0.029
0.000
0.002
1 0.003*
0.001
0.000
1 0.000
0.000
0.000
1 D.047
Cadmium
0.000
0.001
0.003
0.010
0.000
0.001
0.001
0.000
0.000
1 0.000
0.000
0.000
0,016
Copper
0.000
0.002
0.007
0.019
0.000
0.002
0.031
0.007
0.000
0.000
0.000
0.000
0.068
Chromium
0.000
0.000
0.000
0.000
0,000
0.000
O.A00
0-000
0.000
0.000
0_000
0.000
0.000
Lead
0.000
0.002
0.007
0.019
0.000
0.002
0.002
0.001
0.000
0.000
0.000
0.000
0.032
Mercury
0.000
0.000
0.001
0.003
0.000
0.000
0.001
0.000
0.000
0.000
0.000
0.000
0.006
Molyb-
0.000
0.007
0.027
0.074
0.000
0.006
0.007
0.002
0.000
0.000
0.000
0.000
0.123
enum
Nickel
0.000
0.007
0.027
0.074
0.000
0.006
0.007
0.002
0.000
0-000
0.000
0.000
0.123
Selenium,
0.000
0.003
0.013
0.039
0.000
0.003
0.004
0.001
0.000
0.000
0.000
0.000
0.063
Zinc
0,000
0.044
0.034
0.096
0.000
0.015
1 0.079
0-026
0.000
0.000
0M00
0.000
0.294
Total
Phos-
0.000
0.512
4.480
3.407
0.000
0.616
2.458
0.792
0.000
0.000
0.000
0.000
12.264
horus
. cer-My, unurr peuarry ui taw, inat finis document was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
i--,risonment for knowing violations". 4 T,.- c►��iyr�v
390 ,•+_$Acs
Signa Applier Date --- '2.5,_ n,3/,"
-'wI rra'i5
DLNR FORM MFLSF (12/2006)

^•
V to .�
CL
�
u
U
u
d
a
Z
o
v
va
o
0
0
0
o
p
d
O
6
4
PL
Q v
v
pd
Z
o
a
a
a
Q
L+
d
rV
N
(I
0
C
d
N
[�
ih
e0
Ammonia 2
S.
p
o
o
rn
a
o
Nitrogen E
m
4
r
c
^
r�i
M
N
c
Nc
M
a
rMn
env
c
0
SC ®
131
Mineralization
0
N
IC
0
n
Rabe"`
Volatilization
Rate"
7-
Application
u
u
u
[a
u
u
u
Q
N
�
a
CD
.D c F✓' u ."
adr
m
c.
a
3,
o
o
d
b
O
u
N
raj
¢ w
Yr
I-U U
ov L. L
yy
u
C7
oe
['+}
d�
=
N
O
�O
G
a
O
p
o
C
c
4
C�
c
•O
C'1
F
-7
rn
n
w
a
0
c
v1
O�
r'1
oc
r~
N
[-
T
0.
a
4
C
d
C�
:•
r�
P [G
CL V7
o
`Q
h
N
.dn
'•G
m�
4G
7�
g*F
N
c e
�_
73
r]
G y'
C'4
N
C
Q.
ava;sp
�
�
�
�
¢
¢
¢
¢
r
�•�
a
a
m
0
0
CV
[V
LL
LL
LL
0
tL
2
W

ANNUAL METALS FIELD LOADING SUMMARY FORM`
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name:
Permit #:
f rator:
Acres Used:
Terra Renewal Services, Inc Total Dry Tons Applied (Annual):
WQ0038087
Terra Renewal Services
23.8
Cation Exchange Capacity (non 503 only):
Owner: Mathis Properties, LLC Predominant Soil Series:
Acres Permitted: 23.8 Site #: WK-MF-23A Field #:
86.58
9.1
Fairview
WIC-MF-23A
Residual Analvsis Data (Heavy Metals and Total Phosnhorus use mslka. % Solids use Raw Percent #):
Sample or
Com-
posite
Date
1_2j
Advance
Pierre
211 1 I l 9
Hunter
Dairy
2/ 11119
3
RVAF
21 l 1 f 19
L4J
Tyson-
Wilkes
418119
L5J
Advance
Pierre
7/ 16/ 1
6
Hunter
Dairy
77116/19
7
RVAF
81261 l 9
8
Tyson-
Wilkes
8/26/ 19
9
10
11
12
% Solids
5.6
9.9
4.4
12.1
5.8
9.3
9.3
9.8
Arsenic
13.0
6.7
16.0
5.1
12.0
6.7
2.5
2.5
Cadmium
4.3
2.2
5.3
1.7
3.9
2.2
0.9
0.8
Copper
790.0
6.2
11.0
] 5_0
160.0
4.5
30.0
20.0
Chromium
Lead
8.6
4.4
11.0
3.4
T8
4.5
1.7
1.7
Mercury
1.3
0.8
1.7
0.6
1.4
0.8
0.8
0.8
Molyb-
den um
34.0
18.0
42.0
14.0
31.0
18.0
7.0
6.7
Nickel
34.0
18.0
42.0
14.0
31.0
18.0
7.0
6.7
Selenium
17.0
8.9
21.0
6.8
1 &0
8.9
3.5
3.3
Zinc
56.0
120.0
53.0
53.0
120.0
45.0
77.0
1 71.0
Total
Phos-
horus
2,200
1,400
7,000
1,800
2.800
1,800
2,400
2,200
ual tleavv Metal rield Loadings (Ualculated in lhslacrel:
Total
1
2
3 J
4
5 J
6
7
9
1D
11
12
DTIAcd
70.62
c
APP-
Event
0.06
0.84
0.09
I.78
0.06
0,00
0.20
"
Arsenic
0.002
0.011
0.003
0.018
0.001
0.000
0.001*
0.003
0.000
0.000
0.000
0.000
1 0.039
Cadmium
0.001
1 0.004
0.001
0.006
0.000
0.000
0.000
0.001
0.000
0.000
0.000
0.000
0.013
Copper
0.093
0.010
0.002
0.053
0.019
0.000
0.012
0.025
0.000
0.000
0.000
0.000
0.215
Chromium
0.000
0.000
0.000
0.000
0,000
0.000
0.000
0.00o
0.000
0.000
0.000
0.000
0.000
Lead
0.001
0.007
0.002
0.012
0.001
0.000
0.001
0.002
0.000
0.000
0.000
0.000
0.026
Mercury
0.000
0.001
0.000
0.002
0.000
0.000
0.000
0.001
0.000
0.000
0.000
0.000
0.005
Molyb-
0.004
0.030
0.008
0.050
0.004
0.000
0.003
0.008
0.000
0.000
0.000
0.000
0.106
denum
Nickel
0.004
0.030
0,008
0.050
0.004
0.000
0.003
0.008
0.000
0.000
0.000
0.000
0,106
Selenium
0.002
0.015
0.004
0.024
0.002
0.000
1 0.001
0.004
0.000
0.000
0.000
0.000
1 0.052
Zinc
0.007
0.201
0.010
0.189
0.014
0.000
0.030
0M87
0.000
0.000
0.000
0.000
0.538
Total
Phos-
0.260
2.341
1.274
6.412
0.336
0.000
0.936
2.710
0,000
0.000
0.000
0.000
14.268
horus
it certiry, unuer penairy or inw, inat tnis nocument was prepared under my direction or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
ir--risonment for knowing violations". A iREUISF 0 To CKAN 16g
...� // 20"+� nr �' he. liar iZv^'
Signa a oi'Lat1deplier Date ���c�+4 ��n -�70
DENR FORM MFLSF (1212006)

a
L~
E
E
E
�;
o•
a
d
F
Q
C
4
d
4
v
a
ei
a
N
e
cL V
U
7-z
z
z
d
�
C
G
G
G
O
Y
d
cC
ctl
w
O
d
CD
p
G
n
0. p
z
Z
Z
zIn
N
fn
a
M
Ammoniauo
o
a
Q
o
a
Nitrogen t
^
r
M
w
rn
D
N
O ry N N
=6
o
o
o
In
In
rnkn
IncC
�.
G
a
b
V
S
O,
n
N
�P
C4
.-.
N
In
h
N
Z
Mineralization
D
o
RateiB°
O
G
G
0
4
4
4
C
volatilizationoo
Rate"
o
o
7
N
Gr.
AppliCatiOn
LJ
U
U
U
U
U
U
��
c
M
Method
0
o
G
0.'
q
v
r�
cc
Fl.
C
�C
sG
N
as
Q
Z
rL.
—
d R
U
G
LL �
�
�"
�
�
�
�
�
U
d
M
S�
t•1
_
M
II+
^
�P
Ic
G
p.
^
�n
6�]
._
o
0o
a
r�
a
o
4
o
C7
0
O
0
G
o
C
a
1'•1
n
a
Y
n
en,
Q
o
d
o
o
a
a
0
0
0
0
d
c
c
C
O
6
y
72
c
unj
rn
_
R
ua
'C 'C Q
o
U
3t
U
O fV
W
[QY
p
G
G
C>
a 70
�
7
a
R.
7I 1�AAf�
l�U�VV
y.,
[O
yy
c9
�
a�
W
b0
bD
op
aq
.a
❑
�
%
�,'
U
t7�C
fA
L
a 7i C
L
v as 42
G"
� 0

ANNUAL METALS FIELD LOADING SUMMARY FORM*
Attach this form to the corresponding Field Loading Summary Form to be submitted in Annual Report
Facility Name: Terra Renewal Services, Inc Total Dry Tons Applied (Annual): 128.39
Permit #: WQ0038087 Cation Exchange Capacity (non 503 only): 9.1
C rator: Terra Renewal Services Owner: Mathis Properties, LLC Predominant Soil Series: Fairview
Acres Used: 21.2 Acres Permitted: 21.2 Site #: WK-MF-23B Field #: WK-MF-23B
Residual Analvsis Data [Heavv Metals and Total Phosrihnrus use mprlkff. °/., Salidc nCP Raw PorcPirit fit -
Sample or
Con'►-
posite
Date
1
Advance
Pierre
2111119
2
Hunter
Dairy
2/11/19
3
RVAF
2111119
d
Tyson-
Wilkes
2/11/19
5
Advance
Pierre
7/16/19
6
Hunter
Dairy
7/16/19
7
RVAF
8126/19
8 V
Tyson-
Wilkes
8/26/19
y 9
10
11
12
% Solids
5.6
9.9
4.4
18.3
5.8
9.3
9.3
9.8
Arsenic
13.0
6.7
16.0
3.9
12.0
6.7
2.5 '
2.5
Cadmium
4.3
2.2
5.3
1.3
3.9
2.2
0.9
0.8
Copper
790.0
6.2
11.0
2.6
160.0
4.5
30.0
20.0
Chromium
Lead
8.6
4.4
11.0
2.6
7.8
4.5
1.7
1.7
Mercury
1.3
0.8
1.7
0A
1.4
0.8
0.9
0.8
Molyb-
den um
34.0
18.0
42.0
10.0
31.0
18.0
7.0
6.7
Nickel
34.0
18.0
42.0
10.0
31.0
18.0
7.0
6.7
Selenium
I TO
8.9
21.0
5.2
16.0
8.9
3.5
3.3
Zinc
56.0
120.0
53.0
110
120.0
45,0
77.0
71.0
Total
Phos-
p]lorus
2,200
1,400
7,000
460
2,800
1,800
2.400
2.200
ua1 ncavv ivierai sera i_,oauinLm 4iraiculaten In inslacrei,
Total
1
2 J
L34
5
6
7
8
9
10
11
12
DTIAc.I
a
App.
Event
0.00
0.47
0.41
4.32
0.07
0,00
0.33
0.46
Arsenic
0.000
0.006
0.013
0.034
0.002
0.000
0.002
0.002
0.000
0.000
0.000
0.000
0.059
Cadmium
0.000
0.002
0.004
0.011
0.001
0.000
0.001
0.001
0.000
0.000
0.000
0.000
0.020
Copper
0.000
0.006
0.009
0.022
0.022
0.000
0.020
0.018
0.000
0.000
0.000
0.000
0.097
Chromium
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Lead
0.000
0.004
0.009
0.022
0.001
0.000
0.001
0.002
0.000
0.000
0.000
0.000
0.039
Mercury
0.000
0.001
0.001
0.004
0.000
0.000
0.001
0.001
0.000
0.000
0.000
0.000
0.007
Molyb-
denum
0.000
0.017
0.035
0.086
0.004
0.000
0.005
0.006
0.000
0.000
0.000
0.000
0.153
Nickel
0.000
0.017
0.035
0,086
0.004
0.000
0.005
0.006
0.000
0.000
0.000
0.000
0.153
Selenium
0.000
0.009
0_017
0.045
0.002
0.000
0.002
0.003
0.000
0.000
0M00
0.000
0.078
Zinc
0.000
0.113
0.044
0A 12
0.016
0.000
1 0.051
0.065
0.000
0.000
0.000
0.000
0.401
Total
Phos-
0.000
1.313
5.754
3.973
0.381
0,000
1.574
2.028
0.000
0.000
0.000
0.000
15.024
horus
...., a.1j, uuuc& Fu"a.ay VJL Ha►r, shut Uus uut1,1111eu1 Was prepares under my uirection or supervision In accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility o'ffines and
in---risonment for knowing violations". Q.OvoFo TQ C111"wV
-e�- - L1r C'ati<.s Rvq�
Sig and Applier
2a,Lc]
2112 411 Fe vp% 39a �Ii, k_5
Date 4-, 2 - S r+ 1 t<
�45jn_1 arar4]
DENR FORM MFLSF (1212006)

P11
-
C.1
wi
V}
V9
V!
CD
�
tb
e.. C
z
U
U
U
U
U
A
gZZZZr-C
°
00o00.
v
o
o
N
o
C>
,�n
a
a
d
o
CDa1
0
p
a v
O
o
Uti
n
n1
Z
eG
Z
ca
n
Z
O
o
4
0
O
CI
O
d
7C
Cj
4
N
a
4
Q
0
rc,4
a
�
b �
rV
�l
N
Ammonia Y
G
0
4
Nitrogen E
"I
C
N
N
o
o$
N
a
Q
cv
at
4
r'
N
�
&O.
'�
Q1
N
g
F-• E
c
ry
�
"
�'
r-o
v;
v�
�
c
c
c
Mineralizationtr
Leio
Rate**
W
W
O
6
6
Volatilization
,M
Rate**
a
o
o
c
z
0
Gs
Application
U
Z
Z
U
Z
z
w
kn
Method*
Z
o
o
0
0
0
0
�
v
It
OdO
x c
R. _
n
C
G
d
W
0
L)
C
arr�114Cq��
�
CD,
x.
n
r
M
It
a
3
a
3
Q
t7
C:
W cd
cd
y
t
d
d
c
o
~ U
1,0
o
G
C
G
o
G
O
G
G
•7
o
c
c
o
0
0
d
r0
vi
rn
—
U;
cT
CL
ul
'C l S
T.
T1
r
C+1
O
>
al
s~
JO 2�EQ
e
0-,
L)I
A
0.
S'rI
�M
0
a
4
CV
ti
N
LL
U7
LL
�2
[Y
LL
LL
Z
LLI

ANNUAL METALS FIELD LOADING SUMMARY FORM`
Attach this form to the corresponding Field Leading Summary Form to be submitted in Annual Report
Facility Name: Terra Renewal Services, Inc Total Dry Tons Applied (Annual): 115.10
Permit #: WQ0038087 Cation Exchange Capacity (non 503 only): 9.2
t rator: Terra. Renewal Services Owner: Johnson, J L Predominant Soil Series: Dan River
Acres Used: 43.5 Acres Permitted: 43.5 Site #: WK-RJ-05 Field #: WK-RJ-05
Residual Analvsis Data (Heavv Metals and Tntal Phnsnhark" uce mglkv_ °/n Rnllrie nee Raw Pprepnt ill -
Sample or
Com-
posite
Date
Advance
Pierre
418119
L2J
Hunter
Dairy
4/11/19
L3J
RVAF
4/11/19
1415
Tyson-
Wilkes
418119
Advance
Pierre
7/16/19
s
Hunter
Dairy
7/16/19
77
RVAF
8/26119
8
Tyson-
Wilkes
914119
v 9
1Q
11
12
Solids
4.3
3.7
3.3
12.1
5.8
9.3
9.3
7.3
Arsenic
16.0
18.0
19.0
5.1
12.0
6.7
2.5
5.0
Cadmium
5.5
6.1
6.4
1.7
3.9
2.2
0.9
0.4
Copper
2400.0
20.0
13.0
15.0
160.0
4.5
30.0
28.0
Chromium
Lead
11.0
12.0
13.0
3.4
7.8
4.5
1.7
4.0
Mercury
1.9
2.2
2.5
0.6
1.4
0.8
0.8
0.1
Molyb-
denum
44.0
49.0
51.0
14.0
31.0
18.0
7.0
2.4
Nickel
44.0
1 49.0
51.0
14.0
31.0
18.0
7.0
3.3
Selenium
22.0
24.0
25.0
6.8
16.0
8.9
3.5
TO
Zinc
55.0
61.0
64.0
53.0
120.0
45.0
77.0
52.0
Total
Phos-
pborus
8,200
11,000
19,000
1,800
2,800
1,800
2,400
2,800
uaI heavy irieiM rieia "aaings «aicuiaren to insiacrei:
Total
1
L 21
3
4
5J
L-617
81
L-9J
L01
LIE
12
DT1Ac.1
y
APP-
Event
0.03
0.09
0.38
1.53
0.03
0.00
0.00
0.59
Arsenic
0,001
0.003
0.015
0.016
0.001
0.000
0.0004
0.006
0.000
0.000
0.000
0.000
0.041
Cadmium
0.000
0.001
0.005
0.005
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.012
Copper
0.120
0.003
0.010
0.046
0.011
0.000
0-000
0.033
0.000
0.000
0.000
0.000
0.223
Chromium
0.000
0.000
0.000
0-000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
0.000
Lead
0.001
0.002
0.010
0.010
1 0.001
0.000
0.000
0.005
0.000
0.000
0.000
0.000
0.028
Mercury
0.000
0.000
0.002
0.002
0.000
0.000
0�000
0.000
0.000
0.000
0.000
0.000
0.004
Molyb-
denum
0.002
0.008
0.039
0.043
0.002
0.000
0.000
0.003
0.000
0.000
0.000
0.000
0.097
Nickel
0.002
0.008
0.039
0.043
0.002
0,000
0.000
0.004
0.000
0A00
0.000
0.000
0.099
Selenium
0.001
0.004
0.019
0.021
1 0.001
0.000
0.000
0.008
0.000
0.000
0.000
0.000
0.054
Zinc
0.003
0.010
0.049
0.162
0.008
0.000
0.000
0.061
0.000
0.000
0.000
0.000
0.294
Total
Phos-
0.410
1.870
14.592
5.512
0.185
0.000
0.000
3.293
0.000
0.000
0.000
0.000
25.861
horus
i WAG I" KV, RI1l1Gi PFCAM11y V1 NAW, luai rids uucumen[ was prepares unaer my airection or supervision in accordance
with a system designed to assure that qualified personnel properly gathered and evaluated the information submitted.
I am aware that there are significant penalties for submitting false information, including the possibility of fines and
iF-risonment for knowing violations". 4 �RF.Vs5gD T¢ C"O-N 6t
Signature o an pplier
/ kC Cri tic. '00 M e VA F
+a 11I2 1912ch"I ra.n �9a �•�/k�
Date 411 2..5 M51ks 64-1r® a.
DENR FORM MFLSF (12/2006)

0
U CG V
d
Z ly
U
U
U
U
U
'�
a.
Q
Q
Q
��'•
O
O
`�'
d
CCD
6
O
O
r
0
Z
Z
Z
Z
r'S
O
a
Oa
Q
Q
O
O
CL �
d �
o00
�
'GAf
CL
`O
cp
N
Ammonia +°c
o
Q
o
Q
o
C
o
c
m
N
N
Nitrogen �
�
M
m
M
-•
�
o
�
C,4
w
°
N
�
a
4
'x
ego
O
G
a
N
•aa
4
t!]
C
In
v�
oho
0.
C7
C]
Mineralization
�r
�
t
0
c
c
CR
Volatilization
o
rn
a
a
Q
Rate"
—
—
—
a
_
w
Application
Z
z
z
2
Method*
x
o
o
a
Ci
000
a�
ry
o
F
NO
s Cm. x s
o
't
o
Wy
a
rV
o
p
c
k
w
u
9
b
G
rd
Wn
R
W
c
w
n
a c
a
N
oo
�—
x
M
r;
M
o
c
C
ca
co
o
o
Q
c
a
a
o
o
a
o.n
'D
Q
a
o
r1
n
a
o
o
a
b
o
c
c
n
r,
q
y
a =
4
o
CC,
Cj
G
O
C
o
..i3
V
`*
J
.0
a
o
N
7
Lpuow
103JCI
<
Q
Q
¢
G'13)
VX
CX3
F.
dC'.UCLcx
A
L v❑i
C
U �a
L
Z
E�
S-
a
Q4 97
•V �
� � SR 4
G 4
-a
w
Y a
C9
•�
�.1
R
p dopp
d
c 1
H i.
C
w
>cc
t+
a ❑
t-
w
L C C
� t
yr u
d
� Sd CC
w
p a
'a .1Z >;
is
r al O
Z
� Q
w
m L
L 'fa
W
O. v
O
�1
b ❑ �
�
cc, ea o
0
0
N
N
LL
(D
LL
O
LL
w
Z
w
4